Kobaca Lafaha ee aan caadi ahayn halka ay tahay inaanay noqon
Heterotopic ossification waa ereyga loo isticmaalo qeexidda lafta kaas oo ka dhexjiraya meel aaney jirin. Heterotopic ossification guud ahaan macnaheedu waa in qaababka lafaha ee ku jira unugyada jilicsan , oo ay ku jiraan muruqyada, jooniska, ama unugyada kale. Inta badan la soo gaabiyo "HO," oogada heterotopic waxay dhici kartaa meel kasta oo jirka ah. Lafaha heterotopic inta badan wuxuu sameeyaa qalliinka ka dib, dhaawac, ama mararka qaarkood sababo aan la garaneynin.
Astaamaha Hoos-u-dhiska Hetotopic
Calaamadaha ugu caansan ee hingootopic ossification waa qallafsanaanta wadajir. Dadka badankood ee qaada hingo-yareenka heterotopic ma dareemaan lafaha aan caadiga ahayn, laakiin ogeysii kobaca lafaha ee helitaanka dhaqdhaqaaqa caadiga ah. Lafaha heterotopic inta badan wuxuu sameeyaa hareeraha suuxdinta ama suxuunta, taasoo ka dhigeysa in xubinta taranka ay adag tahay. Astaamaha kale waxaa ku jiri kara tiro balaadhan oo la dareemi karo, bedeli karo aagga, ama xanuun.
Goorma Hoos-u-Dhisida Hetotopic Haysu dhacdaa?
Heterotopic ossification wuxuu dhacaa marka jirku helo calaamado isku dhafan, unugyada lafuhu waxay bilaabaan inay abuuraan lafo cusub oo ka baxsan qalfoofka caadiga ah. Jirku wuxuu si joogto ah u sameeyaa lafo cusub si uu u beddelo lafaha gudaha qalfoofka. Marka jabka uu ku dhaco lafta, lafta cusub ayaa loo sameeyaa si loo bogsiiyo lafta burburay. Dadka qaba hindhisaha heterotopic, habka la midka ah ayaa la qabtaa, laakiin badanaaba sabab aan la garaneyn.
Nidaamka nudaha cusub ee loo yaqaan 'lone formation' waxaa loo yaqaan 'skeletogenesis'.
Marka geedi socodkani ka dhaco meel ka baxsan meesha lafaha caadiga ah ee jiraa, natiijada waxaa loo yaqaan 'heterotopic ossification. Cawaaqaasu waxay u dhexeeyso iyada oo aan la taaban karin illaa aad u daran. Xaaladaha qaarkood, lafaha heterotopic ayaa la ogaan doonaa oo kaliya sababta oo ah raajo ayaa loo sameeyey walaac aan xiriir la lahayn. Kuwa kale, natiijooyinka waxay xaddidi karaan awoodda shaqsiyadeed ee lagu fulinayo hawlaha fudud, sida socodka.
Maxay Sababta Iskudhicinta Heterotopic ee Cuncunka?
Waxaa jira dhowr sababood oo keena lafaha heterotopic. Kuwaas waxaa ka mid ah:
- Xaaladaha hidda-socodka (sida fibrodysplasia progressive och prognosis)
- Hababka qalliinka (oo ay ku jiraan beddelida wadajirta wadnaha iyo suxulka maqaarka iyo qaliinka jimicsiga)
- Dhaawac maskaxda ama laf-dhabarka ( dhaawaca maskaxda ee dhaawaca maskaxda iyo dhaawaca laf-dhabarka )
- Dhaawacyada isboortiga ( myositis ossificans )
Ma jiraa daawo?
Daaweynta Heterotopic ossification waa adag tahay, wax yar baa la fahamsan yahay waxa keenaya xaaladdan inay dhacdo. Sababtoo ah waxaa jira faham yar oo ah sababta ay lafaha hargabku u sameysan karto, way adag tahay in la ogaado sida looga hortago laf dheeraadka ah ka sameynta.
Qalitaanka cirridka ee lafaha heterotopic ayaa suurtagal ah in bukaanlayda lafaha heterotopic ay tahay natiijada qaliinka ama dhaawacyada (maskaxda iyo bukaanka dhaawacyada maskaxda). Guud ahaan, taladu waa in lafaha heterotopic ay si buuxda u yeeshaan, macnaheedu waa inaan lafo dheeraad ah sameynin. Waqtigaas, qalliinka waxaa laga yaabaa in loo tixgeliyo in laga saaro lafta. Tan waxaa badanaa la sameeyaa si loogu oggolaado dhaqdhaqaaqa wadajirka ah ee la qaboojiyey ka dib markii uu lafo-guru jiro.
Bukaannada qaba hurgun hiddesid ah oo sababay lafaha heterotopic si ay u sameeyaan, qalliinka waa daaweynta khaldan.
Xaqiiqdii, bukaannadani, qalliin ku sameeya si looga saaro lafaha aan caadiga ahayn ayaa sii xumayn kara xaaladda guud.
Cilmi-baaris ayaa la sameeyaa si loo ogaado haddii ay jiraan daaweyn hiddesid ah oo wax ka beddelaya muujinta gen ee lagu arko bukaanada qaba heterotopic ossification. Daawooyinkani waxay ku jiraan marxaladaha ugu horreeya ee baaritaanka.
Hooseotopic Ossification Miyaa la joojin karaa ?:
Bukaannada halis sare ugu jira horumarka naas-nuujinta heterotopic, waxaa jira dhowr daaweyn oo loo isticmaalo si looga hortago horumarinta lafta xad-dhaafka ah. Daawooyinka qaarkood, oo ay ku jiraan qiyaaso badan oo ah daawooyinka aan anti-inflammatory (nonsteroidal anti-inflammatory drugs) (NSAIDs), ayaa lagu muujiyay hoos u dhaca horumarinta lafaha heterotopic.
Daaweynta murugada kale waa isticmaalka daaweynta shucaaca ee hal dose oo kaliya si loo bedelo unugyada soo saara lafaha xad-dhaafka ah. Radiation waxaa mararka qaarkood la isticmaalaa qalliinka wadajirka ah ee weyn ama bukaanka qaba taariikhda horumarinta lafaha heterotopic. Daaweynta shucaacu waa muran, sababtoo ah shucaacu wuxuu sababi karaa dhaawac jirka ah oo dib loo dhigayo bogsashada halka qalliinka lagu sameeyey.
Waagii hore, qaliinka qalliinka qaarkood ayaa isticmaalayay shucaac waqtiga qalliinka bedelka si loo hubiyo in lafaha hanta- wadnaha uusan u dhicin sidii dhibaatada qalliinka. Hadda, haddii bukaanka loo tixgeliyo inuu halis sare ugu jiro horumarka nadiifinta lafaha, qalabka shucaaca laguma talinayo.
Ilaha:
Kaplan FS, iyo al. "Heterotropic Ossification" J Am Acad Orthop Surg March / April 2004; 12: 116-125.
Healy WL iyo Iorio R. "Hetotopic Ossification Ka dib Hip iyo Jeermiska Arthroplasty: Ciladaha Khatarta, Ka Hortagga, iyo Daaweynta" J Am Acad Orthop Surg November / December 2002; 10: 409-416.